A national study of personal accomplishment, burnout, and satisfaction with work-life integration among advance
Liselotte N Dyrbye1,2, Colin P West2,3, Elizabeth A Kelsey1
1Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
Background:
There is a high prevalence of burnout among health care professionals, but little remains known about burnout and satisfaction with work-life integration (WLI) among advance practice nurses (APNs).
Purpose:
To evaluate burnout and satisfaction with WLI among APNs compared with other US workers.
Methods:
A national sample of APNs and a probability-based sample of US workers completed a survey that measured burnout and satisfaction with WLI.
Results:
Of the 976 (47%) APNs who completed the survey 64% had high personal accomplishment, 36.6% had symptoms of overall burnout, and 60.6% were satisfied with their WLI. In multivariable analysis, work hours (for each additional hour odds ratio [OR] 1.03, 95% confidence interval [CI] 1.02-1.04, p < .001) and working in an outpatient setting (overall p = .03; referent hospital: outpatient, OR 1.80, 95% CI 1.17-2.18; other/unknown, OR 1.41, 95% CI 0.90-2.22, p = .13) were independently associated with having higher odds of burnout. Work hours were also independently associated with lower odds of satisfaction with WLI (for each additional hour OR 0.94, 95% CI 0.94-0.95, p < .001). Advance practice nurses were not more likely to have burnout or have greater struggles with WLI than other workers.
Implications For Practice:
Findings from this study suggest APNs have high levels of personal accomplishment and a favorable occupational health profile. Advance practice nurses do not appear at higher risk of burnout or dissatisfaction with WLI than other US workers.
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